Provider Demographics
NPI:1114396801
Name:STEUBER, COURTNEY ANN (RN)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:ANN
Last Name:STEUBER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:ANN
Other - Last Name:BIRR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3210 90TH CURV NE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55449-6825
Mailing Address - Country:US
Mailing Address - Phone:320-761-3458
Mailing Address - Fax:
Practice Address - Street 1:3210 90TH CURV NE
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55449-6825
Practice Address - Country:US
Practice Address - Phone:320-761-3458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-23
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2252827163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse